title: Influence of psychosocial factors on self-care behaviors and glycemic control in Turkish patients with type 2 diabetes mellitus.
abstract: OBJECTIVE
  The main purpose of this study was to investigate the direct and indirect effects of psychosocial factors on self-care behavior and glycemic control in Turkish patients with type 2 diabetes mellitus.
  
  
  METHODS
  The study used a cross-sectional questionnaire survey design (N = 350). Data were collected using the Summary of Diabetes Self-Care Activities Scale and the Multidimensional Diabetes Questionnaire. The relationship between the study variables was analyzed using Pearson's correlation coefficient and structural equation modeling.
  
  
  RESULTS
  Self-efficacy was associated with social support, outcome expectancies, perceived interference, educational level, and self-care and A1C. According to the structural equation model, self-efficacy was the predictor variable that influenced both self-care and glycemic control.
  
  
  CONCLUSIONS
  Self-efficacy in achieving desired health outcomes was found to play a central role in Turkish patients. Although interventions are planned and implemented to achieve and maintain self-management in individuals with diabetes, strengthening psychosocial factors, particularly self-efficacy, may contribute to adjustment to disease and good glycemic control in the long term.
authors.affiliation: Istanbul University, Florence Nightingale Nursing Faculty, Public Health Nursing Department Istanbul, Turkey.
authors.forename: Gulhan
authors.initials: G
authors.lastname: Cosansu
authors.forename: Semra
authors.initials: S
authors.lastname: Erdogan
mesh_terms: D000328:Adult; D001786:Blood Glucose; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000523:psychology* / Q000628:therapy*; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012648:Self Care; D020377:Self Efficacy; D012944:Social Support; D011795:Surveys and Questionnaires; D014421:Turkey
chemical_list: D001786:Blood Glucose
keywords: psychosocial factors; self-care; structural equation modeling (SEM); type 2 diabetes mellitus